{* Smarty
// This file should be in UTF8 without BOM - Accents examples: éèê
// +----------------------------------------------------------------------+
// | Copyright (c) 2004-2015 Advisto SAS, service PEEL - contact@peel.fr  |
// +----------------------------------------------------------------------+
// | This file is part of PEEL Shopping 7.2.1, which is subject to an	  |
// | opensource GPL license: you are allowed to customize the code		  |
// | for your own needs, but must keep your changes under GPL			  |
// | More information: https://www.peel.fr/lire/licence-gpl-70.html		  |
// +----------------------------------------------------------------------+
// | Author: Advisto SAS, RCS 479 205 452, France, https://www.peel.fr/	  |
// +----------------------------------------------------------------------+
// $Id: admin_societe_form.tpl 44077 2015-02-17 10:20:38Z sdelaporte $
*}<form class="entryform form-inline" role="form" method="post" action="{$action|escape:'html'}">
	{$form_token}
	<input type="hidden" name="mode" value="{$mode|str_form_value}" />
	<input type="hidden" name="id" value="{$id|str_form_value}" />
	<table class="main_table">
		<tr>
			<td class="entete" colspan="2">{$STR_ADMIN_SOCIETE_FORM_COMPANY_PARAMETERS}</td>
		</tr>
		<tr>
			<td colspan="2"><div class="alert alert-info">{$STR_ADMIN_SOCIETE_FORM_EXPLAIN}</div></td>
		</tr>
		<tr>
			<td style="width:250px;">{$STR_COMPANY}{$STR_BEFORE_TWO_POINTS}:</td>
			<td><input type="text" class="form-control" name="societe" style="width:100%" value="{$societe|str_form_value}" /></td>
		</tr>
		<tr>
			<td>{$STR_FIRST_NAME}{$STR_BEFORE_TWO_POINTS}:</td>
			<td><input type="text" class="form-control" name="prenom" style="width:100%" value="{$prenom|str_form_value}" /></td>
		</tr>
		<tr>
			<td>{$STR_NAME}{$STR_BEFORE_TWO_POINTS}:</td>
			<td><input type="text" class="form-control" name="nom" style="width:100%" value="{$nom|str_form_value}" /></td>
		</tr>
		<tr>
			<td>{$STR_EMAIL}{$STR_BEFORE_TWO_POINTS}:</td>
			<td><input type="email" class="form-control" name="email" style="width:100%" value="{$email|str_form_value}" /></td>
		</tr>
		<tr>
			<td>{$STR_WEBSITE}{$STR_BEFORE_TWO_POINTS}:</td>
			<td><input type="text" class="form-control" name="siteweb" style="width:100%" placeholder="http://" value="{$siteweb|str_form_value}" /></td>
		</tr>
		<tr>
			<td>{$STR_SIREN}{$STR_BEFORE_TWO_POINTS}:</td>
			<td><input type="text" class="form-control" name="siren" style="width:100%" value="{$siren|str_form_value}" /></td>
		</tr>
		<tr>
			<td>{$STR_VAT_INTRACOM}{$STR_BEFORE_TWO_POINTS}:</td>
			<td><input type="text" class="form-control" name="tvaintra" style="width:100%" value="{$tvaintra|str_form_value}" /></td>
		</tr>
		<tr>
			<td>{$STR_CNIL_NUMBER}{$STR_BEFORE_TWO_POINTS}:</td>
			<td><input type="text" class="form-control" name="cnil" style="width:100%" value="{$cnil|str_form_value}" /></td>
		</tr>
		<tr>
			<td>{$STR_ADDRESS}{$STR_BEFORE_TWO_POINTS}:</td>
			<td><textarea class="form-control" name="adresse">{$adresse}</textarea></td>
		</tr>
		<tr>
			<td>{$STR_ZIP}{$STR_BEFORE_TWO_POINTS}:</td>
			<td><input type="text" class="form-control" name="code_postal" style="width:100%" value="{$code_postal|str_form_value}" /></td>
		</tr>
		<tr>
			<td>{$STR_TOWN}{$STR_BEFORE_TWO_POINTS}:</td>
			<td><input type="text" class="form-control" name="ville" style="width:100%" value="{$ville|str_form_value}" /></td>
		</tr>
		<tr>
			<td>{$STR_COUNTRY}{$STR_BEFORE_TWO_POINTS}:</td>
			<td><input type="text" class="form-control" name="pays" style="width:100%" value="{$pays|str_form_value}" /></td>
		</tr>
		<tr>
			<td>{$STR_TELEPHONE}{$STR_BEFORE_TWO_POINTS}:</td>
			<td><input type="tel" class="form-control" name="tel" style="width:100%" value="{$tel|str_form_value}" /></td>
		</tr>
		<tr>
			<td>{$STR_FAX}{$STR_BEFORE_TWO_POINTS}:</td>
			<td><input type="tel" class="form-control" name="fax" style="width:100%" value="{$fax|str_form_value}" /></td>
		</tr>
		<tr>
			<td>{$STR_BANK_ACCOUNT_CODE}{$STR_BEFORE_TWO_POINTS}:</td>
			<td><input type="text" class="form-control" name="code_banque" style="width:100%" value="{$code_banque|str_form_value}" maxlength="5" /></td>
		</tr>
		<tr>
			<td>{$STR_BANK_ACCOUNT_COUNTER}{$STR_BEFORE_TWO_POINTS}:</td>
			<td><input type="text" class="form-control" name="code_guichet" style="width:100%" value="{$code_guichet|str_form_value}" maxlength="5" /></td>
		</tr>
		<tr>
			<td>{$STR_BANK_ACCOUNT_NUMBER}{$STR_BEFORE_TWO_POINTS}:</td>
			<td><input type="text" class="form-control" name="numero_compte" style="width:100%" value="{$numero_compte|str_form_value}" maxlength="11" /></td>
		</tr>
		<tr>
			<td>{$STR_BANK_ACCOUNT_RIB}{$STR_BEFORE_TWO_POINTS}:</td>
			<td><input type="text" class="form-control" name="cle_rib" style="width:100%" value="{$cle_rib|str_form_value}" maxlength="2" /></td>
		</tr>
		<tr>
			<td>{$STR_BANK_ACCOUNT_DOMICILIATION}{$STR_BEFORE_TWO_POINTS}:</td>
			<td><input type="text" class="form-control" name="domiciliation" style="width:100%" value="{$domiciliation|str_form_value}" /></td>
		</tr>
		<tr>
			<td>{$STR_IBAN}{$STR_BEFORE_TWO_POINTS}:</td>
			<td><input type="text" class="form-control" name="iban" style="width:100%" value="{$iban|str_form_value}" /></td>
		</tr>
		<tr>
			<td>{$STR_SWIFT}{$STR_BEFORE_TWO_POINTS}:</td>
			<td><input type="text" class="form-control" name="swift" style="width:100%" value="{$swift|str_form_value}" /></td>
		</tr>
		<tr>
			<td>{$STR_ACCOUNT_MASTER}{$STR_BEFORE_TWO_POINTS}:</td>
			<td><input type="text" class="form-control" name="titulaire" style="width:100%" value="{$titulaire|str_form_value}" /></td>
		</tr>
		<tr>
			<td colspan="2"><p>{$STR_ADMIN_SOCIETE_FORM_SECOND_ADDRESS}</p></td>
		</tr>
		<tr>
			<td>{$STR_ADDRESS}{$STR_BEFORE_TWO_POINTS}:</td>
			<td><textarea class="form-control" name="adresse2">{$adresse2}</textarea></td>
		</tr>
		<tr>
			<td>{$STR_ZIP}{$STR_BEFORE_TWO_POINTS}:</td>
			<td><input type="text" class="form-control" name="code_postal2" style="width:100%" value="{$code_postal2|str_form_value}" /></td>
		</tr>
		<tr>
			<td>{$STR_TOWN}{$STR_BEFORE_TWO_POINTS}:</td>
			<td><input type="text" class="form-control" name="ville2" style="width:100%" value="{$ville2|str_form_value}" /></td>
		</tr>
		<tr>
			<td>{$STR_COUNTRY}{$STR_BEFORE_TWO_POINTS}:</td>
			<td><input type="text" class="form-control" name="pays2" style="width:100%" value="{$pays2|str_form_value}" /></td>
		</tr>
		<tr>
			<td>{$STR_TELEPHONE}{$STR_BEFORE_TWO_POINTS}:</td>
			<td><input type="tel" class="form-control" name="tel2" style="width:100%" value="{$tel2|str_form_value}" /></td>
		</tr>
		<tr>
			<td>{$STR_FAX}{$STR_BEFORE_TWO_POINTS}:</td>
			<td><input type="tel" class="form-control" name="fax2" style="width:100%" value="{$fax2|str_form_value}" /></td>
		</tr>
		<tr>
			<td>{$STR_ADMIN_WEBSITE}{$STR_BEFORE_TWO_POINTS}:</td>
			<td>
				<select class="form-control" name="site_id">
					{$site_id_select_options}
				</select>
			</td>
		</tr>
		<tr>
			<td colspan="2" class="center"><p><input class="btn btn-primary" type="submit" value="{$titre_soumet|str_form_value}" /></p></td>
		</tr>
	</table>
</form>